医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
11期
72-73
,共2页
膝关节%半月板撕裂%磁共振成像
膝關節%半月闆撕裂%磁共振成像
슬관절%반월판시렬%자공진성상
Knee Joint%Meniscus%Tear%Magnetic resonance imaging
目的：探讨MRI对膝关节半月板桶柄样撕裂的诊断价值。方法：对经手术及关节镜证实的46例膝关节半月板桶柄样撕裂患者的M R I表现进行回顾性分析。结果：1152例膝关节损伤患者中，725例患者诊断为半月板损伤，M R I正确诊断46例半月板桶柄样撕裂患者，检出准确率为6.3%。其中发生于内侧半月板者29例,外侧半月板者17例。出现后角残破征20膝（43.48%),领结残破征17膝(36.95%),空领结征16膝(34.78%),双后交叉韧带征20膝(43.48%),双前角征18膝(39.13%),前角异常肥大征3膝（6.52%）,后角异常肥大2膝（4.35%）,碎块内移征14膝(30.43%)，厚饼征3膝（6.52%），无特殊征象2膝（4.35%）。同时半月板桶柄样撕裂并发前交叉韧带、内侧副韧带损伤的发生比例较高。结论：MRI是诊断半月板桶柄样撕裂的较好方法，空(残)领结征、后角残破征、双后交叉韧带征及双前角征是诊断该病的可靠依据。
目的：探討MRI對膝關節半月闆桶柄樣撕裂的診斷價值。方法：對經手術及關節鏡證實的46例膝關節半月闆桶柄樣撕裂患者的M R I錶現進行迴顧性分析。結果：1152例膝關節損傷患者中，725例患者診斷為半月闆損傷，M R I正確診斷46例半月闆桶柄樣撕裂患者，檢齣準確率為6.3%。其中髮生于內側半月闆者29例,外側半月闆者17例。齣現後角殘破徵20膝（43.48%),領結殘破徵17膝(36.95%),空領結徵16膝(34.78%),雙後交扠韌帶徵20膝(43.48%),雙前角徵18膝(39.13%),前角異常肥大徵3膝（6.52%）,後角異常肥大2膝（4.35%）,碎塊內移徵14膝(30.43%)，厚餅徵3膝（6.52%），無特殊徵象2膝（4.35%）。同時半月闆桶柄樣撕裂併髮前交扠韌帶、內側副韌帶損傷的髮生比例較高。結論：MRI是診斷半月闆桶柄樣撕裂的較好方法，空(殘)領結徵、後角殘破徵、雙後交扠韌帶徵及雙前角徵是診斷該病的可靠依據。
목적：탐토MRI대슬관절반월판통병양시렬적진단개치。방법：대경수술급관절경증실적46례슬관절반월판통병양시렬환자적M R I표현진행회고성분석。결과：1152례슬관절손상환자중，725례환자진단위반월판손상，M R I정학진단46례반월판통병양시렬환자，검출준학솔위6.3%。기중발생우내측반월판자29례,외측반월판자17례。출현후각잔파정20슬（43.48%),령결잔파정17슬(36.95%),공령결정16슬(34.78%),쌍후교차인대정20슬(43.48%),쌍전각정18슬(39.13%),전각이상비대정3슬（6.52%）,후각이상비대2슬（4.35%）,쇄괴내이정14슬(30.43%)，후병정3슬（6.52%），무특수정상2슬（4.35%）。동시반월판통병양시렬병발전교차인대、내측부인대손상적발생비례교고。결론：MRI시진단반월판통병양시렬적교호방법，공(잔)령결정、후각잔파정、쌍후교차인대정급쌍전각정시진단해병적가고의거。
Objective To evaluateMRI of bucket handle tear of menisci .Methods MRI in 46 cases withbucket handle tear of menisci provedby arthroscopy or surgery were analyzed.Results 1152 cases of knee joint injury patients, 725 patients diagnosed with meniscus injury, 46 cases of bucket handle tear of menisc. Detection accuracy rate is 6.3%. 29withmedial and17 withlateral bucket- handletearsof menisciwerefound. MRI showed posterior angle broken sign in19knees, bowtiebrokensign in21knees,empty bowtie sign in16knees, double posterior cruciate ligament sign in20knees, doublemeniscusanterior angle sign in18knees, anterior angle abnor-mally fat sign in3knees, , posterior angle abnormally fat sign in2knees,internal displaced fragment sign in14knees, thickpastry sign in3knees, and no special sign in2 knees. MRI also demonstatedcapsule medial collateral ligament and anterior cruciate ligament injury occurs higher proportion.Conclusion MRI is a better methodof diagnosis meniscus barrel handle sample tear .Empty or brokenbowtie sign, posterior angle brokensign, double posterior cruciate ligament sign, and doublemeniscusanterior angle sign could suggest buckethandle tear of menisc.
